HomeMy WebLinkAboutPermit Fence 1991-08-05CITY OF SPR"UGFIELD, OREGO'U
225 Fitth Street
Spri ngfi e1 d, 0regon. 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRI]TIGFtELO
0ffi ce:
INSPECTION LINE:
726-3759
726-3769
Job Location: I zqo N 3\*
Assessors Map #:Tax Lot #:OAMO
0wner:- {oa AL Ehett
Address:A2-
City:
Value of Fence:
re
000
q)
/4 Phone #: 7 47- *o +r;
State:[l vr Z1 p q1+"1fl
Fence Permit is $5.00
IJate
FOR OFFICE USE
Contractor/I nstal I er:fr"*r*[J"Kr^,k4'
Address: I 3qO N, 31 s+phone #: ./ (+{ - ?ZSz_
City:State ' Of<-7i p:qrl
Construction Contractors Registration #: $\A Ex pires:
By s'igning. this permit/appligq!ig!r i agree_to call for an inspection once myfence has been constructed (7264769). -I also state that all 'information on-this-application/permit is correct and that I was provicled with the Springfield
Development Code requirements for fence standards.
C Kr-*.")8-6{la/
Date of Application:g-g -1t Job #, 7l0q {o
Receipt #: '?410o Issued By:Solor.=--
Total Amount Collected:_+ 5'o
checked for De'linquencies: L "'' checked for Historical status , (/
Signaty/e